Field Reimbursement Manager
Job title: Field Reimbursement Manager in USA at reputed company
Company: reputed company
Job reputed company: reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every aspect of reputed company. We are reputed company for delivering insights, products, and services that reputed company reputed company care more accessible and reputed company. Here, we reputed company on the health, happiness, and reputed company-being of you and those we serve – we care.What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an reputed company, and are empowered to bring new reputed company. Together, we reputed company as we shape the reputed company of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you.The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory reputed company on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is reputed company-facing and customer-facing and requires the ability to build relationships with physician offices as reputed company as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced, highly visible environment as reputed company as collaboratively with the internal program hub support services to ensure reputed company customer needs are met. FRM will frequently reputed company reputed company telephone with providers and internal staff to arrange site reputed company, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and reputed company insurance plans and benefit structures in order to reputed company detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on reputed company expectation.Key Responsibilities:
- reputed company on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in reputed company to Reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly.
- reputed company on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and reputed company coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to reputed company based on reputed company expectation. This trended data is also reported quarterly to reputed company.
- Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information reputed company to co-pay assistance and patient assistance programs. FRM will collaborate with case manager on average of 4/month and reputed company as needed for escalations. These interactions are tracked in FRM CRM and hub system.
- Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework. Additional day-to-day in-office work. reputed company with physicians and manufacturer representatives to obtain and reputed company patient and provider specific information. reputed company FRM interactions/activities are tracked in FRM CRM which are reportable to management and reputed company.
- Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored reputed company FRM CRM dashboard daily. Trending results will be identified through quarterly reporting. Additionally, clients have the reputed company to survey customers on program performance.
- Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account reputed company) FRM will create a facility database on reputed company new provider in FRM CRM. reputed company interactions/activities are reputed company utilizing this database.
- 4-year degree in reputed company field or equivalent experience
- 4+ years of reputed company reputed company reimbursement experience
- Strong medical reimbursement experience with Buy & reputed company and/or Specialty Pharmacy.
- Experience supporting oncology products preferred
- Experience in the reputed company industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.
- Must have Medicare and reputed company insurance coverage experience.
- Must be reputed company to deliver and document benefit investigation reputed company and reputed company status reports on a regular reputed company.
- Proven presentation skills and experience
- Proven ability to effectively handle multiple priorities and excellent organizational skills
- Strong Computer literacy to include PowerPoint and Web Meeting experience
- Previous field experience, a plus
- Previous experience with specialty pharmacy a plus
- Account management experience, a plus
- Excellent Interpersonal skills.
- Excellent written and oral communication skills
- Problem solving and decision-making skills